Citizen in a RepublicNH Bill Briefing
← All bills

SB 249 · 2025 · Senate · Health and Human Services Committee

Medicaid uncompensated care funding

AI-generated

relative to the uncompensated care and Medicaid fund.

Revises the funding mechanism for uncompensated care costs under the Medicaid program, including disproportionate share hospital payment distribution, and establishes a committee to study the Medicaid enhancement tax and disproportionate share hospital payments.AI-generated

Status

Signed into law · July 22, 2025
  1. ✓Introduced
  2. ✓Senate
  3. ✓House
  4. ✓Governor
  5. ✓Law

Analysis

This bill revises the funding mechanism for uncompensated care costs under the state Medicaid program, including the distribution of disproportionate share hospital payments. The percentage of funds used for Medicaid payments to hospitals is repealed July 1, 2032.

From the bill's official ANALYSIS section.

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Regina BirdsellRPrimeMajority Leader

Public testimony

7 signed in online · 3 wrote testimony

14% support86% oppose0% neutral

In their wordsVerbatim, exactly as submitted

“Medicaid payments have been rising dramatically for many years. It is time to stop this rise.”
— Jay Schechter, Dublinopposes
“This bill restores Medicaid payments to hospitals to last biennium’s levels, costing the taxpayers $19M a year more than the Governor’s proposed budget.”
— Ray Chadwick, Bedfordopposes

Verbatim excerpts of submitted testimony, quoted from the testimony tool.

Read the testimony · as of Aug 12, 2026

Hearings

  • 2025-02-199:00 amSenate Health and Human ServicesSH 100Public hearing
  • 2025-04-2910:00 amHouse Ways and MeansLOB 202-204Public hearing
  • 2025-05-0610:00 amHouse Ways and MeansLOB 202-204Public hearing
  • 2025-05-2710:00 amHouse Ways and MeansLOB 202-204Public hearingrescheduled

Legislative history

  1. Jan 9, 2025SenIntroduced 01/09/2025 and Referred to Health and Human Services; SJ 3
  2. Feb 19, 2025SenHearing: 02/19/2025, Room 100, SH, 10:30 am; SC 10
  3. Mar 13, 2025SenCommittee Report: Ought to Pass, 03/13/2025, Vote 3-2; SC 12
  4. Mar 13, 2025SenSen. Birdsell Floor Amendment # 2025-0915s, AA, VV; 03/13/2025; SJ 7
  5. Mar 13, 2025SenOught to Pass with Amendment #2025-0915s, MA, VV; Refer to Finance Rule 4-5; 03/13/2025; SJ 7
  6. Mar 27, 2025SenCommittee Report: Ought to Pass, 03/27/2025, Vote 4-1; SC 14
  7. Mar 27, 2025SenOught to Pass: MA, VV; OT3rdg; 03/27/2025; SJ 9
  8. Mar 27, 2025HouseIntroduced (in recess of) 03/27/2025 and referred to Ways and Means HJ 11 P. 113
  9. Apr 29, 2025HousePublic Hearing: 04/29/2025 10:20 am LOB 202-204
  10. May 6, 2025House==RECESSED== Full Committee Work Session: 05/06/2025 10:00 am LOBO 202-204
  11. May 27, 2025HouseExecutive Session: 05/27/2025 10:00 am LOB 202-204
  12. May 27, 2025HouseCommittee Report: Ought to Pass with Amendment # 2025-2465h 05/27/2025 (Vote 18-0; CC) HC 27 P. 12
  13. May 30, 2025HouseRemoved from Consent (Reps. Notter, Tim Mannion, Granger, Sabourin, Slottje, Spillane, Osborne, Cordelli, DeVito, Polozov) 05/30/2025 HJ 16 P. 2
  14. Jun 5, 2025HouseSpecial Order to next order of business (Rep. Osborne): MA VV 06/05/2025 HJ 16 P. 102
  15. Jun 5, 2025HouseAmendment # 2025-2465h: AA VV 06/05/2025 HJ 16 P. 103
  16. Jun 5, 2025HouseOught to Pass with Amendment 2025-2465h: MA VV 06/05/2025 HJ 16 P. 103
  17. Jun 12, 2025SenSen. Rochefort Moved to Concur with the House Amendment, MA, VV; 06/12/2025; SJ 16
  18. Jun 26, 2025HouseEnrolled (in recess of) 06/26/2025 HJ 18 P. 60
  19. Jun 26, 2025SenEnrolled Adopted, VV, (In recess 06/26/2025); SJ 18
  20. Jul 15, 2025SenSigned by the Governor on 07/15/2025; Chapter 0250; Effective 07/01/2025

Coverage

No reporting linked yet.

Documents (PDF)

Bill text & amendments link direct to gc.nh.gov; committee reports stream from the state record.